There’s also this one that you should be aware of given some of the things said:
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Do you understand why what you did broke the rules stated?
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Do you understand how you can avoid breaking them again?
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Do you agree that you will not break the same rules in the future?
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Do you understand that if in the future you break any of the rules that you were banned for already, that you will not be able to appeal again (unless the ban was a mistake or due to extenuating circumstances)?